Aetna Medicare Advantage for Providers Only

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Aetna Medicare Advantage plans actually take a total approach to health where it provides an affordable plan premium, sometimes as low as $0. The Aetna’s Part C plans frequently include prescription drug coverage and extra benefits.

With Aetna Medicare Advantage PPO plans, you will be able to visit providers in or out of their provider network who actually accept Medicare and their plan terms. If you want to know more about Aetna Medicare Advantage for providers only, you can find out more information about it in our post below!

How Do Aetna Medicare Advantage for Provider Work?

Preferred provider organization (PPO) plans actually allow you to select any provider who actually accepts Medicare. For specialist or hospital visits, you do not need a referral from a primary care physician. However, if you use providers in your plan’s network, it may cost less.

Aetna Medicare Advantage does not require you to use a provider network, but seeing out-of-network providers generally costs more. This CVS company also does not require you to own a primary care physician (PCP).

Aetna’s PPO plans also do not require referral to see a specialist. Aetna’s Medicare Advantage for providers offers monthly premiums with a variety of plans. To see various plans, you can also check your ZIP code for details.

Aetna Medicare Advantage for providers also provides medical deductibles with a variety of plans. To see the plans, you just simply check your ZIP code for details. It also requires limits on what you pay out-of-pocket for medical care each year.

Aetna Medicare Advantage also includes prescription drug (Rx) coverage and also Rx mail-order benefit. Talking about dental, vision and hearing coverage, Aetna Medicare Advantage also provides them in most plans.

Aetna Medicare Advantage for providers offers ER and urgent care coverage worldwide. Furthermore, it also provides fitness benefits through SilverSneakers. Over-the-counter (OTC) benefits are also provided in many plans.

Last but not least, Aetna Medicare Advantage for providers also offers meals-at-home programs (meals delivered after an inpatient hospital or skilled nursing facility stay) in most plans.

Where Can You Find Aetna Medicare Advantage Provider?

Through Aetna CVS Health plans, you will get access to a high-quality network of providers and telemedicine as well as convenient, affordable care offerings at CVS HealthHUB, MinuteClinic and also CVS pharmacy locations across the country.

As of this writing, there are a bunch of provides available in the select areas, here are they:

  • Arizona (though Banner|Aetna)
  • Florida
  • Georgia
  • Missouri
  • Nevada
  • North Carolina
  • Texas
  • Virginia (through Aetna CVS Health in Richmond and Roanoke and Innovation Health in Northern Virginia)

If you are in one of the states above and are participating in ACA individual plans for 2022, it’s very easy to check your participation status. To check it, you just need to visit Provider Search Users here.

How to Check Your Participation Status Through Provider Search Users?

There are two options that you can take to check your participation status:

First, check your participation status in Aetna Medicare Network by logging as a member. If you are already a member of Aetna Medicare, you just simply log into Aetna with your account. To login, you just click on the ‘Login to Secure Site’ button. On the Login button, you need to enter your username and password that you have set in registration.

We recommend you to search or check your participation status as a member. When you’re searching as a member, you can get results for your plan, view cost estimates and also select a primary care doctor.

If you do not have an Aetna account and want to be a member, you just register first. Through  Provider Search Users, you just click on the ‘Register Now’ button to create an account. Once clicking the button, you will be taken to the New User Registration Page.

To create an account in Aetna Medicare Network, you have to provide your  basic information including:

  • Member ID/ Social Security
  • Your full first name
  • Your full last name
  • Your date of birth
  • Zip Code

If you have filled out your personal information, you can just click the ‘Continue’ button to go to the next step. When you are filling your personal information, you may need to fill out the information as correctly as possible.

For the next step, you just need to follow on-screen instructions to continue registration. You may also have to validate your identity, create your account in detail and agree with the Aetna’s terms & conditions.

Second, check your participation status in Aetna Medicare Network by continuing as a guest. If you want to check your participation status as a guest, you just need to enter your home location including ZIP, city, country or state) in order to access specific to your plan benefits.

After you enter your specific location, you can click on the ‘Search’ button. Keep in mind, you can set the distance of your location by dragging the point available on ‘Look Within’ section. If you are traveling,  you can also change your location once you select your plan.

Learn More About Medicare Advantage Plans?

It is known that Medicare Advantage Plan is sometimes called ‘Part C’ as another great way to gain your Medicare Part A and Part B coverage. The Part C plans here are offered by Medicare-approved private companies that should follow the rules set by Medicare.

The drug coverage (Part C) is most Medicare Advantage plans included. In fact, there are some types of Medicare Advantages Plans that you can take. You should know that each of those Medicare Advantage Plan types actually have special rules about your plan’s supplemental benefits and how you obtain your Medicare covered Part A and Part B services.

When joining a Medicare Advantage Plan, you will still own Medicare, but you just obtain most of your Part A and Part B coverage from your Medicare Advantage Plan. To gain your Medicare covered services, you have to use the card from your Medicare Advantage Plan. So, make sure to keep your white, red and blue Medicare card in a safe place, as you may need it if you want to switch back to Original Medicare.

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